Unknown Individual – Adult Medicine Physician, NPI 1275842916
Adult Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2806 W US HIGHWAY 90 STE 102
LAKE CITY, FL 320554745
Phone: (386) 438-8391
Fax: (386) 438-8629
Type: Mailing
2806 W US HIGHWAY 90
SUITE 102
LAKE CITY, FL 320554745
Phone: (386) 438-8391
Fax: (386) 438-8629
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32055)
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